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i <br />Public Works <br />Maintenance & <br />PROJECT AUTHORIZATION FORM - Parks and Open Space <br />City of Eugene <br />1820 Roosevelt Boulevard <br />Eugene, Oregon 97402 <br />(541) 682.4800 <br />(541) 682-4882 FAX <br />Service ID: ~^fr lY SID PB ✓ GL JC. ✓ JE veww.eugene-or.gov/parks <br />Project Ttle: I-Q <br />Oocatbn and mt* dmc*wn) <br />j <br />a22 1zLd-d'r'- e- - <br />2 4 <br />Project Manager/Contact/Private Engineer: i~'L. 44 C fi <br />PROJECT SCOPE:, 09,L,614 Paving: Bike lanes/ <br />w paths: <br />Concrete walks: (Iangm) Setback/Curbside <br />Wastewater Stormwater Landscaping <br />Signal Street lights ROW requ i ired <br />New building construction Planning, Other Remodel <br />i <br />FUNDING SOURCES: r+~a w. 9g5y~2 <br />dv[. l Lt r i ~w ~Y ' I84 tV0 <br />33(0 <br />Clty .Assessments ' Private aer Department <br />Account Code <br />Fed / State / Count / FAA fixed) <br />COMMENTS/ SPECIAL PROJECT INFO./ INTERDEPARTMENTAL WORK DESCRIPTION: <br />tz; <br />1 <br />i <br />APPROVED: i <br />Project Manager: Date: <br />Section Manager: Date: ' 3 I ? <br />Financial Analyst: Date: <br />Division Manager: Date: <br />FOR USE BY ADMINISTRATION ONLY Capital Project No. 995522 ACK 336-9335-6xxxx-995522 <br />i <br />GL Title POS Alton B Renov Irrig/Utilit <br />f <br />Assigned by Date: <br />Accounting by: -By-Tammy-Smith at 11:49 am,-Jan-23k,2UD9 Date: <br />ATTACHMENTS: <br />budget Estimate <br />❑ SDC Budget Worksheet <br />❑ City Engineer's Initiating Order <br />O Request for Scoping Meeting <br />PWWPOS 100 WHITE/Finance <br />❑ Developer Agreement ❑ Engineer's Report on Improvement Petition <br />❑ Engineering Agreement ❑ Engineering Service Work Request <br />❑ Public Improvement Permit Application Map <br />r ~ <br />YELLO /PW Adfh'~Inistratlon File P N blvlslon File DENROD/ProJeot Manager July 2006 <br />i <br />I <br />i <br />